Individual
PRISCILLA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
251 E HACKETT RD, MODESTO, CA 95358-9800
(209) 448-1544
Mailing address
251 E HACKETT RD, MODESTO, CA 95358-9800
(209) 448-1544
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
116834
CA
Other
Enumeration date
02/02/2021
Last updated
06/02/2025
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